Frontiers in Oncologic prostate Care and Ablative Local therapy (FOCAL)
Objectives for the Entire Course
- Describe the rationale for focal/partial gland therapy of prostate cancer
- Appropriately identify optimal candidates for focal treatments
- Evaluate the latest evidence on oncological and functional outcomes of focal therapy
- Describe surveillance strategies post-focal therapy of prostate cancer
- Prevent, identify and manage the complications of focal therapy
- Describe and perform steps of transperineal interventions and treatment planning for focal therapy using different modalities.
- Describe the indications, preoperative evaluation, surgical steps/procedure, and expected patient outcomes for various minimally invasive operations for BPH
In-office Transperineal Interventions course
Upon completion, participant will be able to:
Learning objectives:
At the end of the didactic portion, participants will:
- List the indications, contraindications, and limitations of transperineal prostate access
- Describe the shortcomings of transrectal biopsy including the risk infectious and bleeding complications, and the rising risk of antibiotic resistance.
- Describe the equipment required and setup for office-based transperineal procedures under local anesthesia
- Describe outcomes of patients undergoing transperineal systematic prostate biopsy including cancer detection rate, complications, and patient experience
- List the available TP fusion biopsy platforms and mechanisms of co-registration
- Describe the outcomes and limitations of transperineal rectal hydrogel spacer placement
At the end of the hands-on portion participants will:
- Demonstrate transperineal peri-prostatic block
- Demonstrate TP access to any location in prostate for biopsy and markers
- Assemble the TP access device and perform biopsy in any location of prostate
- Perform co-registration and targeted sampling using a TP fusion biopsy platform
- Assemble a rectal hydrogel spacer kit
- Demonstrate safe placement of hydrogel spacer from start to finish
Focal Prostate Ablation Course
At the end of the hands-on portion participants will:
- Perform treatment planning for focal prostate HIFU ablation
- Perform HIFU probe preparation, placement and beginning a procedure
- Perform prostate focal cryoablation planning using transperineal fusion platform
- Perform cryoprobe placement to ensure adequate tumor coverage and avoid vital structures
State-of-the-Art BPH Management Course
Upon completion, participant will be able to:
Learning objectives:
At the end of the didactic portion, participants will:
- Describe the workup and guidelines for the management of BPH
- List the indications and contraindications of contemporary minimally invasive surgical options for the treatment of BPH
- Describe the equipment required and setup for various surgical treatment options
- Describe the outcomes of various surgical treatment options for BPH
At the end of the hands-on portion participants will:
- Describe and perform treatment planning for ablative prostate hydrodissection
- Describe and perform optimal implant placement for prostatic urethral lift
- Describe and perform steps of thermal water vapor ablation
- Describe and perform steps for laser and/or bipolar enucleation of BPH tissue